Blue Shield Of California Improves Provider Engagement

Tasked with the responsibility of ensuring quality healthcare while managing costs, Blue Shield of California uses MedeAnalytics Medical and Medicaid Management solution to improve collaboration and engagement with providers.

Challenge

Imagine this scenario: In a conference room sits a team of senior executives, doctors, and nurses gathered to discuss the all-important issue of providing quality healthcare while ensuring the most effective use of resources. Blue Shield of California (BSC) representatives come armed with pages and pages of data to help providers understand where money is being spent. Days have been expended gathering data, printing spreadsheets, and assembling the print-outs.

The providers attempt to sort through the data presented to them. Papers shuffle across the table. No two people look at the same page at the same time. A doctor asks a question that cannot be answered. The mood in the room changes. Frustrations rise as the search for clarity yields confusion and distraction.

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